Page 2103 - Saunders Comprehensive Review For NCLEX-RN

examination of various joints.
b. Articular cartilage abnormalities can be
assessed, loose bodies removed, and
the cartilage trimmed.
c. A biopsy may be performed during the
procedure.
2. Interventions
a. Instruct the client to fast for 8 to 12
hours before the procedure.
b. Ensure that informed consent was
obtained.
c. Administer pain medication as
prescribed postprocedure.

d. Assess the neurovascular status

of the affected extremity.
e. An elastic compression bandage should
be worn postprocedure for 2 to 4 days
as prescribed.
f. Instruct the client that walking with
weight-bearing usually is permitted
after sensation returns but to limit
activity for 1 to 4 days as prescribed
following the procedure.
g. Instruct the client to elevate the
extremity as often as possible for 24
hours following the procedure and to
place ice on the site to minimize
swelling for 12 to 24 hours
postprocedure.

h. Advise the client to notify the

PHCP if fever or increased knee pain
occurs or if edema continues for more
than 3 days postprocedure.
D. Bone mineral density measurements
1. Dual-energy x-ray absorptiometry
a. Dual-energy x-ray absorptiometry
measures the bone mass of the spine,
wrist and hip bones, and total body.
b. Radiation exposure is minimal.
c. It is used to diagnose metabolic bone
disease and to monitor changes in
bone density with treatment.
d. Inform the client that the procedure is
painless.

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